Park Mount Care Home

Updated 10 April 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection team consisted of an adult social care inspector and an Expert by Experience with expertise in looking after older people with dementia.

Service and service type:

Park Mount is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

The inspection was unannounced.

What we did:

As part of planning the inspection we looked at information the provider had sent us in their Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and any improvements they plan to make. We looked at information we held about the service as part of our ongoing monitoring; including any statutory notifications sent to us by the provider about incidents and events that had occurred at the service. A notification is information about important events which the service is required to send us by law. We also spoke with the local authority to gain their perspective of the home. We used this information to populate our planning tool which is a document we use to help plan the inspection is to be conducted.

Following our inspection, the local authority raised some concerns regarding staffing which we followed up with the Chief Executive of the company.

During our inspection we spoke with four people who lived at the home, two relatives and six staff.

As some people were unable to give us their views we used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 10 April 2019

About the service: Park Mount Care Home is a purpose-built care home for older people. It is located in Macclesfield. The home has capacity to accommodate 40 people in single en-suite rooms on two floors and also has one double room. It has two lounges, two dining rooms, a garden which is accessible to people, and a chapel where regular services are conducted and all denominations are made welcome.

People’s experience of using this service:

People said they felt safe living at the home. We followed up some feedback in relation to staffing numbers, however, the registered provider demonstrated and our observations showed there were enough staff on shift to keep people safe. Medication was managed safely, and there was a process to analyse incidents and accidents. The environment was safe.

People were offered choice and control over their day-to-day lives and consent was obtained People were supported to manager their nutrition and hydration needs. We discussed the décor of the home and how this could be further improved to support people living with dementia. Staff had the skills and knowledge to support people effectively.

We observed kind and caring interactions between staff and people who lived at the home. Staff discussed how they preserved people’s dignity and respected their feelings. People were involved in the completion of their care plans, and any reviews.

Complaints were dealt with in line with the registered providers complaints process. There was detailed information documented in people’s care plans in relation to what they liked, disliked and their preferred routines and choices for support. Staff were trained in end of life care, and people received support to ensure their last wishes were respected.

The registered manager completed audits of service provision and we saw that action plans were completed when issues were identified. People and their families were regularly asked for feedback and this was taken into consideration when making changes at the home. The registered manager was knowledgeable of their role and had notified the Care Quality Commission appropriately of any reportable events.

Rating at last inspection:

Rated good, report published September 2016.

Why we inspected:

This service was due to be inspected in line with our methodology.

Follow up:

ongoing monitoring